Midi Health · 1 day ago
Eligibility Specialist
United States
Full-time
Remote
Entry, Mid Level
$20/hr - $23/hr
2+ years expMidi Health is seeking a dedicated Eligibility Specialist to join their Revenue Cycle team. The role involves verifying patient insurance coverage and ensuring eligibility for services, while maintaining a smooth billing process and assisting patients with their insurance inquiries.
Health CareMedicalTherapeuticsWomen's
Responsibilities
Accurately verify patient insurance coverage, benefits, and eligibility using systems like AthenaHealth and payer portals
Obtain and track pre-authorizations for services when required by the payer
Identify primary and secondary insurance coverage to ensure proper coordination of benefits and avoid future claim denials
Maintain accurate and up-to-date documentation of insurance verification outcomes in the system, ensuring billing compliance
Collaborate with billing specialists and patients to resolve eligibility-related issues, claim holds, or denials
In collaboration with Operations team, maintain proprietary insurance-provider mapping database to ensure billing compliance
Notify patients of any discrepancies in coverage or issues with their insurance eligibility, providing patients with clear guidance and options
Ensure patient insurance information is correctly recorded and maintained for accurate billing and reimbursement
Conduct follow-up on pending insurance verifications to prevent delays in billing or service delivery
Use AthenaHealth, payer portals and other tools efficiently to confirm patient eligibility and verify coverage before appointments
Qualification
Required
Minimum of 2 years of experience in medical billing, front office, insurance verification, or eligibility-related roles
Proficient with AthenaHealth or another EHR, insurance payer portals and other eligibility verification systems
Must have eligibility experience with major commercial plans, across multiple states in a telehealth model
Strong verbal and written communication skills, with the ability to explain complex insurance details to patients and internal team members
Proven ability to investigate, resolve, and prevent issues related to insurance verification and eligibility
High degree of accuracy in verifying patient data and maintaining records
Ability to thrive in a fast-paced, growing environment, while maintaining a focus on patient satisfaction and operational excellence
Benefits
Comprehensive health benefits (medical and dental)
Paid time off
Paid holidays
Company
Midi Health
Midi Health provides virtual care for women in midlife, offering clinician support for menopause, hormonal health, and related conditions.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$152MKey Investors
Advance Venture PartnersEmerson CollectiveGoogle Ventures
2025-10-02Series C· $50M
2024-04-24Series B· $63M
2023-09-27Series A· $25M
Leadership Team
J
Jill Herzig
Chief Brand Officer, Brand Steward
Joanna Strober
Founder
Recent News
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